Organization Active NPI

Connect Marriage and Family Therapy Services

  • Marriage & Family Therapist
  • East Syracuse, NY
National Provider Identifier
1992251318
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001266 Issued in NY
Legal business name
CONNECT MARRIAGE AND FAMILY THERAPY SERVICES
Practice address
5900 N Burdick St Ste 102a
East Syracuse, NY 13057-9477
Phone
(315) 400-2483
NPI assigned
Aug 26, 2016
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brynn Rogers Burns, MFTNPI 1821498452
Title
President
Phone
(315) 400-2483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001266 NY Primary

Addresses

Primary practice location

5900 N Burdick St Ste 102a
East Syracuse, NY 13057-9477

Mailing address

3 Drumlins Ter
Syracuse, NY 13224-2217
Phone (315) 400-2483

Other identifiers 1

IdentifierTypeStateIssuer
1124490362OtherNYALL OTHER INSURANCES

National Provider Directory

National Provider Directory

Locations

5900 N Burdick St
Ste 102A
East Syracuse, NY 13057
Phone (315) 400-2483

5900 N Burdick St
Ste 102B
East Syracuse, NY 13057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1992251318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DRUMLINS TER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132242217",
            "telephone_number": "315-400-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 102A",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579477",
            "telephone_number": "315-400-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT MARRIAGE AND FAMILY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "ROGERS BURNS",
        "authorized_official_first_name": "BRYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-400-2483",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCES",
            "identifier": "1124490362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.